원저

기쿠치씨 병의 임상적 고찰

최충식1, 최건1,*, 조재훈1, 정광윤1, 최종욱1
Choong Sik Choi1, Geon Choi1,*, Jae Hoon Cho1, Kwang Yoon Jung1, Jong Ouck Choi1
Author Information & Copyright
1고려대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head & Neck surgery, Korea University, College of Medicine, Seoul, Korea
*교신저자: 최 건, 152-703 서울 구로구 구로동 80번지 고려대학교 의과대학 이비인후-두경부외과학교실 전화: (02) 818-6749· 전송: (02) 868-0475 E-mail: geonchoi@korea.ac.kr

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 25, 1999; Accepted: May 24, 2000

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Kikuchi’s disease, also known as various terms, is the benign self limiting dis-ease of unknown origin. It causes cervical lymphadenitis, usually in young women with frequent fever. Also it may be mistaken for malignant lymphoma or other systemic granulomatous inflammatory disease. The purpose of this study is to report the characteristics of clinical, laboratory and pathologic findings of Kikuchi’s disease. Materials and Methods: We evaluated 29 patients, who were diagnosed as Kikuchi’s disease with excisional biopsies, retrospectively. Results: There was female predilection and the most common presenting symptoms was fever. The common involvement site were superior and inferior internal jugular chain and spinal accessory chain. Laboratory findings revealed that leukopenia and high ESR (erythrocyte sedimentation rate) were noted and admixture of monocyte and histiocyte with karyorrhetic debris were observed in the biopsy specimen. Only two of twelve cases were positive finding of Kikuchi’s disease on fine-needle aspiration cytology. Conclusions: We described 29 cases of Kikuchi’s disease with clinical, laboratory and pathologic findings and reviewed the literature. And it will be needed further study to improve the technique and accuracy of fine- needle aspiration cytology. (J Clinical Otolaryngol 2000;11:92–97)

Keywords: 기쿠치씨 병
Keywords: Kikuchi’s disease.